Kerk Edward C Ang

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361

Phone

(408) 499-0700

NPI assigned

Oct 29, 2018

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1164999090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 SWEETWATER RD",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773236",
            "telephone_number": "619-386-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "408-499-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "KERK EDWARD",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93837282F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Service Medical Group
• Anesthesia Services, Inc
• Anew Horizon Psychological Corporation
• Anew Recovery Inc.
• Ashley Ang
• Lawrence W. Ang, M.D.
• Michael Ang, M.D.
• Tee-Boi Ang, RPH
• Generose Angarola, RBT
• Alejandro Angel

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.